MARK D WHITAKER

PHOENIX, AZ
NPI1578572384
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  2347)
Enumeration Date2006-08-08
Last Update Date2015-02-02
Business Address
-- MARK D WHITAKER DO
19636 N 27TH AVE SUITE 308
PHOENIX, AZ 85027-4013
Phone number: 623-780-1999
Mailing Address
-- MARK D WHITAKER DO
2500 W UTOPIA RD STE. 100
PHOENIX, AZ 85027-4171
Phone number: 623-780-1999
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